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1942327101
VIRGIL DOMINISE
LAKELAND, FL
NPI
1942327101
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
Enumeration Date
2007-03-23
Last Update Date
2012-01-20
Business Address
-- VIRGIL DOMINISE
1010 CARPENTERS WAY
LAKELAND, FL 33809-3926
Phone number: 863-815-0488
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Mailing Address
-- VIRGIL DOMINISE
7131 CEDARCREST BLVD
LAKELAND, FL 33810-4844
Phone number:
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